When one, named Charm, was only 10 years old, he turned her belly button from an “outtie” to an “innie.” Daughter Brittani got a nose job, and, when she was 18, breast augmentation surgery.

That may seem super-creepy to the rest of us, but Dr. Niccole thinks he was the best man for the job, saying, “Who would give [my daughters] the time — that extra little look during surgery more than I would?”

These days, the girls, both of whom are now 22, also get regular Botox injections to prevent wrinkles and undergo other cosmetic procedures — things Dr. Niccole calls “maintenance.”

“I’m not changing their looks in any means. They want maintenance,” he said. “They don’t want to get old. They want to stay young.”